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Fluoxetine and
the serotonin syndrome.
Ruiz F.
Division of
Emergency Medicine, Emory University School of Medicine, Atlanta,
Georgia.
A 48-year-old man presented to the emergency department with
confusion, agitation, diaphoresis, and muscle rigidity after beginning treatment
with fluoxetine, a serotonin reuptake inhibitor. He had discontinued treatment
with tranylcypromine, a monoamine oxidase inhibitor, 2 weeks earlier. The
constellation of findings was diagnostic of the serotonin syndrome.
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